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Male-to-female anal sex is commonly viewed as a way of preserving female because it is non-procreative and does not tear the ; a person, especially a teenage girl or woman, who engages in anal sex or other sexual activity with no history of having engaged in vaginal intercourse is often regarded among heterosexuals and researchers as not having yet experienced virginity loss. Stimulation from anal sex can additionally be affected by popular perception or portrayals of the activity, such as or. Gay men who prefer anal sex may view it as their version of intercourse and a natural expression of intimacy that is capable of providing pleasure.

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An illustration of anal sex Anal sex or anal intercourse is generally the insertion and of the into a person's , or anus and , for sexual pleasure. Other forms of anal sex include , the use of for anal penetration, performed on the anus , and. Although the term anal sex most commonly means penile-anal penetration, sources sometimes use the term anal intercourse to refer exclusively to penile-anal penetration, and anal sex to refer to any form of anal , especially between pairings as opposed to. While anal sex is commonly associated with male , research shows that not all males engage in anal sex and that it is not uncommon in relationships. Types of anal sex can also be a part of. People may experience pleasure from anal sex by stimulation of the anal endings, and may be achieved through anal penetration — by indirect stimulation of the in men, indirect stimulation of the or an area of the vagina sometimes termed the in women, and other especially the. However, people may also find anal sex painful, sometimes extremely so, which may be primarily due to psychological factors in some cases. Anal sex is considered a high-risk sexual practice because of the vulnerability of the anus and rectum. The anal and rectal tissues are delicate and do not provide lubrication like , so they can easily tear and permit disease transmission, especially if a is not used. Anal sex without protection of a is considered the riskiest form of sexual activity, and therefore health authorities such as the WHO recommend practices for anal sex. Strong views are often expressed about anal sex. It is controversial in various cultures, especially with regard to. This is commonly due to prohibitions against anal sex among males or teachings about the purpose of sexual activity. It may be regarded as or unnatural, and is a in some countries, punishable by or. By contrast, people also regard anal sex as a natural and valid form of sexual activity that may be as fulfilling as other desired sexual expressions. They may regard it as an enhancing element of their or as their primary form of sexual activity. Male genital anatomy, showing the location of the prostate with respect to the rectum The abundance of in the anal region and can make anal sex pleasurable for men or women. The and muscles control the opening and closing of the anus; these muscles, which are sensitive membranes made up of many nerve endings, facilitate pleasure or pain during anal sex. Research indicates that anal sex occurs significantly less frequently than other sexual behaviors, but its association with , as well as , makes it an appealing to people of all. In addition to by the penis, people may use such as or , engage in , , , or for anal sexual activity, and different may also be included. Fisting is the least practiced of the activities, partly because it is uncommon that people can relax enough to accommodate an object as big as a fist being inserted into the anus. This can result in pleasurable sensations and can lead to an in some cases. The prostate is located next to the rectum and is the larger, more developed male variation to the female. However, though the experiences are different, male orgasms by penile stimulation are also centered in the prostate gland. It is also typical for a man to not reach orgasm as a receptive partner solely from anal sex. General statistics indicate that 70—80% of women require direct stimulation to achieve orgasm. The vaginal walls contain significantly fewer nerve endings than the clitoris and anus, and therefore intense sexual pleasure, including orgasm, from vaginal sexual stimulation is less likely to occur than from direct clitoral stimulation in the majority of women. Achieving orgasm solely by anal stimulation, however, is rare among women. The clitoris is composed of more than the externally visible head. With its glans or body as a whole estimated to have around 8,000 endings, the clitoris surrounds the and , and may have a similar connection with the anus. Indirect stimulation of the clitoris through anal penetration may also be caused by the shared sensory nerves, especially the , which gives off the and divides into two terminal branches: the and the. The spot, or , is a debated area of female anatomy, particularly among doctors and researchers, but it is typically described as being located behind the female pubic bone surrounding the urethra and accessible through the anterior wall of the vagina; it and other areas of the vagina are considered to have tissue and nerves that are related to the clitoris. Besides the shared anatomy of the aforementioned sensory nerves, orgasm by indirect stimulation of the clitoris or G-spot area through anal penetration may be aided by the close proximity between the vaginal cavity and the rectal cavity. Direct stimulation of the clitoris, a G-spot area, or both, during anal sex can help some women enjoy the activity and reach orgasm from it. Stimulation from anal sex can additionally be affected by popular perception or portrayals of the activity, such as or. In pornography, anal sex is commonly portrayed as a desirable, painless routine that does not require ; this can result in couples performing anal sex without care, and men and women believing that it is unusual for women, as receptive partners, to find discomfort or pain instead of pleasure from the activity. By contrast, each person's sphincter muscles react to penetration differently, the anal sphincters have tissues that are more prone to tearing, and the anus and rectum do not provide lubrication for sexual penetration like. Researchers say adequate application of a personal lubricant, relaxation, and communication between sexual partners are crucial to avoid pain or damage to the anus or rectum. Additionally, ensuring that the anal area is clean and the is empty, for both aesthetics and practicality, may be desired by participants. Men may also enjoy the penetrative role during anal sex because of its association with dominance, because it is made more alluring by a female partner or society in general insisting that it is forbidden, or because it presents an additional option for penetration. While some women find being a receptive partner during anal intercourse painful or uncomfortable, or only engage in the act to please a male sexual partner, other women find the activity pleasurable or prefer it to. In a 2010 clinical review article of heterosexual anal sex, the term anal intercourse is used to refer specifically to penile-anal penetration, and anal sex is used to refer to any form of anal sexual activity. Anal intercourse is sometimes used as a substitute for vaginal intercourse during. The likelihood of occurring during anal sex is greatly reduced, as anal sex alone cannot lead to pregnancy unless sperm is somehow transported to the vaginal opening. Because of this, some couples practice anal intercourse as a form of , often in the absence of a condom. Male-to-female anal sex is commonly viewed as a way of preserving female because it is non-procreative and does not tear the ; a person, especially a teenage girl or woman, who engages in anal sex or other sexual activity with no history of having engaged in vaginal intercourse is often regarded among heterosexuals and researchers as not having yet experienced virginity loss. This is sometimes termed. McBride's 2010 clinical review on heterosexual anal intercourse and other forms of anal sexual activity, it is suggested that changing may affect the frequency of heterosexual anal sex. As a result, we do not know the extent to which anal intercourse differs qualitatively from coitus. Women engaged in anal intercourse less commonly than men. Vaginal intercourse was practiced more than insertive anal intercourse among men, but 13% to 15% of men aged 25 to 49 practiced insertive anal intercourse. With regard to adolescents, limited data also exists. This may be because of the taboo nature of anal sex and that teenagers and caregivers subsequently avoid talking to one another about the topic. It is also common for subject review panels and schools to avoid the subject. A 2000 study found that 22. They used condoms during anal sex 20. Anal sex being more common among heterosexuals today than it was previously has been linked to the increase in consumption of anal pornography among men, especially among those who view it on a regular basis. However, many gay men and men who have sex with men in general those who identify as gay, , heterosexual or have not identified their do not engage in anal sex. Among men who have anal sex with other men, the insertive partner may be referred to as the and the one being penetrated may be referred to as the. Those who enjoy either role may be referred to as. Gay men who prefer anal sex may view it as their version of intercourse and a natural expression of intimacy that is capable of providing pleasure. The notion that it might resonate with gay men with the same emotional significance that vaginal sex resonates with heterosexuals has also been considered. Some men who have sex with men, however, believe that being a receptive partner during anal sex questions their. Men who have sex with men may also prefer to engage in or other forms of because they find it more pleasurable or more affectionate, to preserve , or as alternatives to anal sex, while other frot advocates as degrading to the receptive partner and unnecessarily risky. Prevalence Reports regarding the prevalence of anal sex among gay men and other men who have sex with men vary. A survey in in 1994 indicated that 46% of gay men preferred to penetrate their partners, while 43% preferred to be the receptive partner. Other sources suggest that roughly three-fourths of gay men have had anal sex at one time or another, with an equal percentage participating as tops and bottoms. A 2012 NSSHB sex survey in the U. Oral sex and mutual masturbation are more common than anal stimulation among men in sexual relationships with other men. According to Weiten et al. A woman wearing a strap-on dildo about to engage in anal sex with a man Women may sexually stimulate a man's anus by fingering the exterior or interior areas of the anus; they may also stimulate the which, for males, is between the base of the and the anus , or engage in anilingus. Sex toys, such as a , may also be used. The practice of a woman penetrating a man's anus with a for sexual activity is called. Commonly, heterosexual men reject the idea of being receptive partners during anal sex because they believe it is a act, can make them vulnerable, or contradicts their sexual orientation for example, that it is indicative that they are gay. The stated in 1999, however: There are little published data on how many heterosexual men would like their anus to be sexually stimulated in a heterosexual relationship. Anecdotally, it is a substantial number. What data we do have almost all relate to penetrative sexual acts, and the superficial contact of the anal ring with fingers or the tongue is even less well documented but may be assumed to be a common sexual activity for men of all sexual orientations. A woman performing anal—oral sex on another woman With regard to , anal sex includes fingering, use of a dildo or other sex toys, or anilingus. Some lesbians do not like anal sex, and anilingus is less often practiced among female same-sex couples. There is less research on anal sexual activity among compared to couples of other sexual orientations. In 1987, a non-scientific study Munson was conducted of more than 100 members of a lesbian social organization in Colorado. When asked what techniques they used in their last ten sexual encounters, lesbians in their 30s were twice as likely as other age groups to engage in anal stimulation with a finger or dildo. While author Tom Boellstorff, when particularly examining anal sex among gay and lesbian individuals in Indonesia, stated that he had not heard of oral-anal contact or anal penetration as recognized forms of lesbian sexuality but assume they take place, author cites anal sex as a part of lesbian sexual practices. A 2014 study of partnered lesbian women in Canada and the U. Mucous membranes of the Anal sex can expose its participants to two principal dangers: infections due to the high number of infectious not found elsewhere on the body, and physical damage to the anus and rectum due to their fragility. The high concentration of around the rectum, together with the risk of tearing and the colon's function to absorb fluid, are what place those who engage in anal sex at high risk of STIs. Use of , ample lubrication to reduce the risk of tearing, and practices in general, reduce the risk of STI transmission. However, a condom can break or otherwise come off during anal sex, and this is more likely to happen with anal sex than with other sex acts because of the tightness of the anal sphincters during friction. Unprotected receptive anal sex with an HIV positive partner is the sex act most likely to result in transmission. Other infections that can be transmitted by unprotected anal sex are which can increase risk of ; ; ; ; ; ; ; ; ; ; ; ; HHV-8 ; ; ; ; ; ; ; ; ; and. As with other sexual practices, people without sound knowledge about the sexual risks involved are susceptible to STIs. It may be because of these views that condom use with anal sex is often reported to be low and inconsistent across all groups in various countries. Although anal sex alone does not lead to pregnancy, pregnancy can still occur with anal sex or other forms of sexual activity if the penis is near the vagina such as during or other and its sperm is deposited near the vagina's entrance and travels along the vagina's lubricating fluids; the risk of pregnancy can also occur without the penis being near the vagina because sperm may be transported to the vaginal opening by the vagina coming in contact with fingers or other non-genital body parts that have come in contact with semen. There are a variety of factors that make male-to-female anal intercourse riskier for a female than for a male. For example, besides the risk of HIV transmission being higher for anal intercourse than for vaginal intercourse, the risk of injury to the woman during anal intercourse is significantly higher than the risk of injury to her during vaginal intercourse because of the durability of the vaginal tissues compared to the anal tissues. Additionally, if a man moves from anal intercourse immediately to vaginal intercourse without a condom or without changing it, infections can arise in the vagina or due to bacteria present within the anus; these infections can also result from switching between vaginal sex and anal sex by the use of fingers or sex toys. Pain during receptive anal sex among gay men or men who have sex with men is formally known as anodyspareunia. In one study, 61% of gay or bisexual men said they experienced painful receptive anal sex and that it was the most frequent sexual difficulty they had experienced. By contrast, 24% of gay or bisexual men stated that they always experienced some degree of pain during anal sex, and about 12% of gay men find it too painful to pursue receptive anal sex; it was concluded that the perception of anal sex as painful is as likely to be psychologically or emotionally based as it is to be physically based. Factors predictive of pain during anal sex include inadequate lubrication, feeling tense or anxious, lack of stimulation, as well as lack of social ease with being gay and being. Research has found that psychological factors can in fact be the primary contributors to the experience of pain during anal intercourse and that adequate communication between sexual partners can prevent it, countering the notion that pain is always inevitable during anal sex. Unprotected anal sex is a risk factor for formation of ASA in the recipient. In some people, ASA may cause autoimmune. Antisperm antibodies impair fertilization, negatively affect the process and impair growth and development of the. Physical damage and cancer Anal sex can exacerbate and therefore result in bleeding; in other cases, the formation of a hemorrhoid is attributed to anal sex. If bleeding occurs as a result of anal sex, it may also be because of a tear in the anal or rectal tissues an or a hole in the , the latter of which being a serious medical issue that should be remedied by immediate medical attention. Because of the rectum's lack of elasticity, the anal being thin, and small being present directly beneath the mucous membrane, tiny tears and bleeding in the rectum usually result from penetrative anal sex, though the bleeding is usually minor and therefore usually not visible. By contrast to other anal sexual behaviors, anal fisting poses a more serious danger of damage due to the deliberate stretching of the anal and rectal tissues; anal fisting injuries include anal sphincter lacerations and rectal and rectosigmoid perforation, which might result in death. Repetitive penetrative anal sex may result in the anal sphincters becoming weakened, which may cause or affect the ability to hold in feces a condition known as. Rectal prolapse is relatively uncommon, however, especially in men, and its causes are not well understood. Most cases of anal cancer are related to infection with the human papilloma virus HPV. Anal sex alone does not cause anal cancer; the risk of anal cancer through anal sex is attributed to HPV infection, which is often contracted through unprotected anal sex. Because of this, men who have sex with men have a high risk of this cancer. Historically, anal sex has been restricted or condemned, especially with regard to religious beliefs; it has also commonly been used as a form of domination, usually with the active partner the one who is penetrating representing masculinity and the passive partner the one who is being penetrated representing femininity. A number of cultures have especially recorded the practice of anal sex between males, and anal sex between males has been especially or punished. In some societies, if discovered to have engaged in the practice, the individuals involved were put to death, such as by , burning, or even. Anal sex has been more accepted in modern times; it is often considered a natural, pleasurable form of sexual expression. Some people, men in particular, are only interested in anal sex for sexual satisfaction, which has been partly attributed to the buttocks and anus being more eroticized in modern culture, including via pornography. Engaging in anal sex is still, however, punished in some societies. Ancient and non-Western cultures See also: , , and From the earliest records, the ancient had very relaxed attitudes toward sex and did not regard anal sex as taboo. Entu priestesses were forbidden from producing offspring and frequently engaged in anal sex as a method of birth control. The , a set of priests who worked in the temples of the goddess , where they performed elegies and lamentations, were especially known for their homosexual proclivities. Male-male anal sex was not a universally accepted practice in Ancient Greece; it was the target of jokes in some Athenian comedies. While was an essential element in the education of male youths, these relationships, at least in and , were expected to steer clear of penetrative sex of any kind. Greek artwork of sexual interaction between men and boys usually depicted or , which was not condemned for violating or boys, while male-male anal intercourse was usually depicted between males of the same age-group. Some sources explicitly state that anal sex between men and boys was criticized as shameful and seen as a form of. Evidence suggests, however, that the younger partner in pederastic relationships i. Seducing those not of proper age for example, non-adolescent children into the practice was considered very shameful for the adult, and having such relations with a male who was no longer adolescent was considered more shameful for the young male than for the one mounting him; Greek courtesans, or , are said to have frequently practiced male-female anal intercourse as a means of preventing pregnancy. A male citizen taking the passive or receptive role in anal intercourse paedicatio in was condemned in Rome as an act of impudicitia immodesty or un ; free men, however, frequently took the active role with a young male slave, known as a or puer delicatus. Likewise, women were believed to only be capable of anal sex or other sex acts with women if they possessed an exceptionally large clitoris or a dildo. Man and woman having anal sex. Collection In Japan, records including detailed show that some males engaged in penetrative anal intercourse with males, and evidence suggestive of widespread male-female anal intercourse in a pre-modern culture can be found in the erotic vases, or stirrup-spout pots, made by the people of Peru; in a survey, of a collection of these pots, it was found that 31 percent of them depicted male-female anal intercourse significantly more than any other sex act. Moche pottery of this type belonged to the world of the dead, which was believed to be a reversal of life. Therefore, the reverse of common practices was often portrayed. The houses an erotic gallery in which this pottery is showcased. Western cultures In many western countries, anal sex has generally been taboo since the , when movements were sometimes attacked by accusations that their members practiced anal sex among themselves. The term originated in Europe as an insult used to describe the rumored same-sex sexual practices of the heretics from a sect originating in , where its followers were called ; when they spread out of the country, they were called buggres from the Bulgars. Another term for the practice, more archaic, is pedicate from the pedicare, with the same meaning. The Renaissance poet advocated anal sex in his Sonetti Lussuriosi Lust Sonnets. While men who engaged in homosexual relationships were generally suspected of engaging in anal sex, many such individuals did not. Nevertheless, it is an attribute of piety that a man should not act in this matter with levity and that he should sanctify himself at the time of intercourse. While, concerning Islamic belief, it is objectionable to use the words al-Liwat and luti to refer to homosexuality because it is toward the prophet of , and therefore the terms sodomy and homosexuality are preferred, same-sex male practitioners of anal sex are called luti or lutiyin in plural and are seen as criminals in the same way that a thief is a criminal, meaning that they are giving in to a universal temptation. Buddhism Further information: and The most common formulation of Buddhist ethics is. These precepts take the form of voluntary, personal undertakings, not divine mandate or instruction. Buddhism, in its fundamental form, does not define what is right and what is wrong in absolute terms for. Therefore, the interpretation of what kinds of sexual activity are acceptable for a is not a religious matter as far as Buddhism is concerned. Hinduism See also: and Although Hindu society does not formally acknowledge sexuality between men, it formally acknowledges and gives space to sexuality between men and as a variation of male-female sex meaning a part of heterosexuality, rather than homosexuality, if analyzed in western terms. Hijras, Alis, Kotis, etc. Dunn; Elizabeth Yost Hammer 2016. Retrieved March 11, 2017. Anal intercourse involves insertion of the penis into a partner's anus and rectum. Retrieved December 19, 2010. Retrieved August 19, 2013. Often referred to simply as anal sex, anal intercourse is sexual activity that involves inserting the penis into the anus. Komisaruk; ; Sara Nasserzadeh; Carlos Beyer-Flores 2009. Retrieved November 6, 2011. Retrieved July 5, 2013. Dennis Fortenberry March 2010. Archived from on June 13, 2002. Retrieved July 23, 2013. Retrieved April 26, 2010. Retrieved August 29, 2013. Retrieved November 6, 2011. Retrieved September 17, 2012. Retrieved April 7, 2011. Retrieved October 14, 2011. Retrieved August 28, 2013. Retrieved August 29, 2013. Retrieved August 28, 2013. Retrieved November 6, 2011. Many men find anal intercourse more exciting than penile-vaginal intercourse because the anal opening is usually smaller and tighter than the vagina. Probably the forbidden aspect of anal intercourse also makes it more exciting for some people. Archived from on April 28, 2010. Retrieved March 11, 2017. Retrieved July 5, 2013. Retrieved July 5, 2013. Lobo; David M Gershenson; Vern L. Retrieved March 9, 2015. Retrieved December 22, 2013. Retrieved December 22, 2013. Flaherty; John Marcell Davis; Philip G. A Lange clinical manual. The amount of time of sexual arousal needed to reach orgasm is variable — and usually much longer — in women than in men; thus, only 20—30% of women attain a coital climax. Many women 70—80% require manual clitoral stimulation... Obstetrics and Gynecology Clinics of North America. Most women report the inability to achieve orgasm with vaginal intercourse and require direct clitoral stimulation... About 20% have coital climaxes... Retrieved August 17, 2012. Dunn; Elizabeth Yost Hammer 2011. Retrieved January 5, 2012. Retrieved March 11, 2017. Retrieved November 6, 2011. Retrieved September 4, 2014. The Journal of Urology. Retrieved November 21, 2012. Retrieved June 23, 2012. Archived from on January 18, 2012. Retrieved April 22, 2010. Retrieved October 30, 2014. Retrieved November 6, 2011. Robert Crooks; Karla Baur 2010—2011. Retrieved May 7, 2013. October 20, 2016, at the. Retrieved May 7, 2013. Retrieved July 16, 2013. Retrieved July 16, 2013. Retrieved October 9, 2011. Retrieved October 8, 2011. Most people agree that we maintain virginity as long as we refrain from sexual vaginal intercourse. Retrieved August 7, 2009. Retrieved August 24, 2013. The social construction of 'sex' as vaginal intercourse affects how other forms of sexual activity are evaluated as sexually satisfying or arousing; in some cases whether an activity is seen as a sexual act at all. For example, unless a woman has been penetrated by a man's penis she is still technically a virgin even if she has had lots of sexual experience. Coleman, Christine Yeh 2011. Retrieved December 10, 2016. Retrieved December 10, 2016. Retrieved December 22, 2013. Retrieved February 12, 2011. Clin Colon Rectal Surg. Retrieved February 12, 2011. Retrieved December 23, 2013. Retrieved February 12, 2011. Harvey; Amy Wenzel; Susan Sprecher 2004. Retrieved July 6, 2013. Retrieved March 12, 2011. Retrieved February 12, 2011. CS1 maint: Explicit use of et al. Retrieved December 10, 2016. Retrieved July 6, 2013. Retrieved July 5, 2011. Retrieved August 25, 2013. The University of California. Retrieved February 3, 2011. Retrieved February 3, 2011. Retrieved November 4, 2012. J Gay Lesbian Med Assoc. Retrieved March 12, 2011. Journal of Sex Research. Bareback — to engage in sex without a condom. Retrieved April 30, 2015. Retrieved September 14, 2014. Retrieved September 14, 2014. Retrieved December 15, 2016. Retrieved May 1, 2015. Retrieved December 15, 2016. Retrieved May 21, 2014. Retrieved May 21, 2014. Retrieved May 1, 2015. Retrieved August 28, 2013. Retrieved August 28, 2013. Retrieved May 1, 2015. Retrieved May 1, 2015. Miletich; Tia Laura Lindstrom 2010. Retrieved September 15, 2014. Altomare; Filippo Pucciani 2008. Retrieved May 1, 2015. Retrieved May 1, 2015. Cochrane Database Syst Rev. Retrieved December 22, 2013. Some cultures are more permissive with respect to such sexual practices as oral sex, anal sex, and masturbation, whereas others are more restrictive. Retrieved December 23, 2013. Archived from on January 21, 2014. Retrieved December 22, 2013. Daily Life in Ancient Mesopotamia. Santa Barbara, California: Greenwood. New York City, New York: New York University Press. Retrieved December 23, 2013. Retrieved December 23, 2013. Retrieved December 22, 2013. Retrieved September 15, 2014. That, and no view about same-sex relations per se, is the basis of his criticism. In fact, Callicles is depicted as having a young boyfriend of his own. It is likely that the pun on the name is sexual: as Callicles seduces Demos, so also the demos. Ember; Melvin Ember 2004. Retrieved September 15, 2014. Retrieved December 22, 2013. Retrieved February 22, 2012. Retrieved December 22, 2013. Retrieved December 22, 2013. Retrieved December 22, 2013. Archived from on March 4, 2013. Good in Bed Guide to Anal Pleasuring. Good in Bed Guides. Retrieved December 22, 2013. The Johns Hopkins University Press. Archived from PDF on May 16, 2007. Retrieved April 30, 2007. Retrieved December 22, 2013. Retrieved December 22, 2013. XII New Haven and London: Yale University Press, 1980. Laws Concerning Forbidden Relations 21:9. Retrieved September 15, 2014. Retrieved September 15, 2014. Retrieved September 15, 2014. Retrieved September 15, 2014. Retrieved September 15, 2014. Retrieved September 15, 2014. Indeed, homoeroticism in general and anal intercourse in particular are referred to as liwat, while those primarily men engaging in these behaviors are referred to as qaum Lut or Luti, 'the people of Lot. Retrieved January 15, 2007. Gabriele Parks, along with Phil Manos and Bill Weber. Archived from on November 23, 2010. Much of this same-sex sexual activity begins in adolescence between school friends and within family environments and is non-penetrative... Young men who cultivate such relationships do not consider themselves to be 'homosexual' but conceive their behavior in terms of sexual desire, opportunity and pleasure. Gammon Anal Sex for Couples: A Guaranteed Guide for Painless Pleasure Triad Press, Inc.

Evidence suggests, however, that the younger partner in pederastic relationships i. There are a variety of factors that make male-to-female anal intercourse riskier for a female than for a male. Retrieved February 12, 2011. Moche pottery of this type belonged to the world of the dead, which was believed to be a reversal of life. New York City, New York: New York University Press. The Johns Hopkins University Press. Anal sex alone does not cause anal cancer; the risk of anal cancer through anal sex is attributed to HPV infection, which is often contracted through unprotected anal sex. Anal sex has been more accepted in modern times; it is often considered a natural, pleasurable form of sexual expression. They used condoms during anal sex 20.